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Wyoming rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.48 / $43.25 / $432.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.55 / $0.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48